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7-7-7 dually accredited Family Medicine Residency The program administrator provides operational support to the Family Medicine Residency & Family Medicine Center. Reports to Residency Program Director.

The minimum requirements for the successful candidate will be:- Excellent analytical skills and demonstrated project management abilities.- Proven track record of achieving objectives and/or motivating and leading teams.- Ability to establish positive, professional relationships with senior leadership and management team members. - Knowledge and ability to utilize Microsoft Office applications, including Excel, or similar applications, in order to analyze large volumes of information.- Prior exposure to a training environment and ability to organize and coordinate a dynamic educational program.- Demonstrated organizational and problem solving skills, as well as strategic and system thinking capability.- Master of Business Administration in marketing, strategy, health care administration or other related area.- 5+ years experience in managing residency programs preferred.

Reporting to the Director, the Manager, Infant, Child & Youth Programs is responsible for the planning, delivery and evaluation of a broad spectrum of community and home based programs that emphasize health promotion and prevention strategies. As an active member of the Community Health Area management team, the incumbent will work within a population health framework and will lead a multidisciplinary staff in the delivery of quality services that address the health issues of infants, children, and youth as well as increases the capacity of the local community to meet local needs.QUALIFICATIONS:Masters Degree in a relevant health discipline or related field, and- Seven years of recent experience in health planning and administration or an equivalent combination of education, and experience.- Demonstrated experience in introducing and managing organizational change.- Proven commitment to health reform.- Proven leadership skills in program development and evaluation, the supervision of staff and managing multidisciplinary teams.- Thorough knowledge of the service provider principles and practices.- Thorough knowledge of community development and public involvement strategies.- Demonstrated commitment to consumer driven care, health promotion, health reform and an employee involvement workplace.- Strong supervisory and management skills.- Excellent verbal and written communication skills.- Strong background in developing and maintaining collaborative working relationships.- Experience utilizing a variety of problem solving and dispute resolution strategies.Qualified applicants only please submit a resume and covering letter quoting competition #29289-kma.Successful applicants may be required to complete a Criminal Records Review Check.Short-listed candidates will be contacted; others will be kept in our database for future consideration.***Employees of VCH who apply to this posting using this site will be considered with other external candidates. Seniority will not apply.***Thank you for your interest in Vancouver Coastal Health.

Our health care professionals are among the best compensated in Canada, with access to training and career development opportunities to help them grow in their chosen fields.

Reporting to the Director, the Manager, Adult and Older Adult Program will be responsible for the planning, delivery and evaluation of a broad spectrum of community and home based programs including clinical and primary care services as well as health promotion and preventative approaches to care. As an active member of the Community Health Area management team, the incumbent will work within a population health framework and will lead a multidisciplinary staff in the delivery of quality services that address the health issues of adults and older adults, as well as increase the capacity of the local community to meet local needs.QUALIFICATIONS:-Masters Degree in a relevant health discipline or related field. -Seven years of recent experience in health planning and administration or an equivalent combination of education and experience.-Demonstrated experience in introducing and managing organizational change.-Proven commitment to health reform.-Proven leadership skills in program development and evaluation, the supervision of staff and managing multidisciplinary teams.-Thorough knowledge of the service provider principles and practices.-Thorough knowledge of community development and public involvement strategies.-Demonstrated commitment to consumer driven care, health promotion, health reform and an employee involvement workplace.-Strong supervisory and management skills.-Excellent verbal and written communication skills.-Strong background in developing and maintaining collaborative working relationships.-Experience utilizing a variety of problem solving and dispute resolution strategies.Qualified applicants only please submit a resume and covering letter quoting competition #028637-kma.Successful applicants may be required to complete a Criminal Records Review Check.Short-listed candidates will be contacted; others will be kept in our database for future consideration.***Employees of VCH who apply to this posting using this site will be considered with other external candidates. Seniority will not apply.***Thank you for your interest in Vancouver Coastal Health.

~ Join a hospital that is fully accredited by the Joint Commission on Accreditation of Health care Organizations and is licensed by the state of California~ Responsible for establishing and maintaining systems for the development and implementation of standards applicable to medical staff, including:1. Member Credentialing2. Privileging3. Quality Improvement and Assessment4. Departmental Administrative Functions~ Enjoy being close to rolling hills and breathtaking ocean views

The name you know. The doctors you trust. Georgetown University Hospital is consistently ranked among the best in the nation by U.S. News and World Report.

Position Summary: Manages and directs all financial and operational aspects of the Department of Medicine, with primary responsibility for assuring that the Department is managed in a fashion that optimizes financial and organizational results, including responsiveness to faculty and staff issues, assuming responsibility for preparation and compliance with approved budgets, and development, updating and maintenance of strategic and business plans to support the academic mission of the Department. These functions are performed in accordance with all applicable laws and regulations and Georgetown University Hospital´s philosophy, policies, procedures and standards.Required Education/Training: Appropriate Master´s level degree is required. (MS, MPH, MBA, MHA). Doctoral degree preferred.Required Experience: Minimum of 7 - 10 years of similar executive-level management experience in an academic health setting, preferably in a Department of similar size and scope. Must have extensive experience in medical center finances, budget preparation and control, personnel management, and information systems. Personal knowledge of statistical analysis and presentation. Must have considerable knowledge of modern management principles, practice and methods, and an understanding of application of automated data processing techniques to financial and operational management.

TITLE (REQ ID): MGR MEDICAL STAFF OFFICE (74262) DEPARTMENT: MEDICAL STAFF ADMINISTRATION EMPLOYMENT TYPE: FULL TIME SHIFT: DAY HOURS PER PAY PERIOD: 80 SHIFT HOURS: 8HOUR FACILITY: DOMINICAN HOSPITAL SANTA CRUZ LOCATION: SANTA CRUZ, CA POSITION REQUIREMENTS Under general direction of the Medical Staff CMO, Chief of Staff and other Medical Staff Leaders provides support to the medical staff activities and processes.Position Qualifications:Education: BA or BS Degree in healthcare or business management related field preferred. Certified Professional Medical Service Management (CPMSM) or Certified Provider Credentialing Specialists (CPCS)Special Training: Must be proficient in keyboarding and have the ability to take minutes of meetings. Ability to use personal computer for word processing and E-mail required. Proficiency in Microsoft Word, Microsoft Office, and basics of Excel preferred. Thorough knowledge of business vocabulary, grammar, punctuation and spelling required. Working knowledge of organizational structure and experience in an acute care hospital preferred. Experience: Five years experience in Medical Staff Services Management, previous managerial/supervisory experience preferred. Job responsibilities:1. Assures confidentiality of medical staff activities pertaining to credentialing, patient care review, and peer review. 2. Oversees functions that support the Medical Staff’s mandated functions/reviews for accreditation, and assures compliance to federal laws, and state statutes for medical staff. 3. Oversees and conducts as appropriate all activities related to medical staff and allied health care practitioner credentialing including the following: (a) processing of all new applications to the medical, and allied health professional staffs, re-appointments of same, resignations, and changes in status; (b) maintenance of a computerized physician database; and (c) support of the clinical medical staff departments. 4. Assuring maintenance of inactive physician credential files, prior peer review proceedings, out-of-date committee minutes, and other related medical staff items in a secure area. 5. Coordinating activities to provide assistance to the medical staff, specifically to officers, department and committee chairs, in developing and maintaining appropriate bylaws and rules and regulations to provide a governing mechanism for effective medical staff management. 6. Coordinating activities to develop and maintain a policy and procedure manual for the Medical Staff Services Department and a policy manual for the medical staff. 7. Apprising the Medical Director Medical Staff Administration, Chief Medical Officer, CEO, Vice President of Patient Care Services, and Medical Staff Officers of all significant matters pertaining to the medical staff, hospital and operation of the Medical Staff Services Department. 8. Overseeing the budget for the Medical Staff Services Department. Overseeing accounting process for Medical Staff treasury to include monthly reporting and special requests for funds. 9. Demonstrating the ability to prioritize, prepare, integrate, and report statistical/disposition data in a timely and thorough manner. 10. Assumes primary accountability for all arrangements and activities related to medical staff committees, departments, services or task forces which may change from time to time. This includes meeting preparations (location, food etc), agenda and document preparation, minutes and all follow-up as required based on decisions made during any of these meetings.11. Participating in department and hospital-wide activities and serves on Medical Staff and Hospital Committees, as appropriate. 12. Prepares/distributes ED call Rosters for all specialties, monthly, 13. Maintains all CME program documentation and attendance reports.14. Coordinates initial physician and allied health care practitioner orientation.15. Maintains medical staff finance checking and savings accounts. Prepares checks for signature by medical staff Secretary/Treasurer at the General Staff meetings.16. Coordinates all medical staff celebrations and social gatherings as requested by the MEC and Administration17. Hire and supervise the Medical Staff Assistants in their roles as defined by their position descriptions.

Implement the credentialing plan and to ensure compliance with all organizational policies and procedures and fulfill credentialing requirements for participation in selected managed care organizations.

This job exists to implement the credentialing plan of The Methodist Hospital Physician Organization and to ensure compliance with all organizational policies and procedures and fulfill credentialing requirements for participation in selected managed care organizations. PATIENT AGE GROUP SERVEDThere is no direct patient care for this role.DUTIES AND RESPONSIBILITIES1. Develops, communicates, and maintains standard operating procedures for the department to ensure timely credentialing of all member physicians and allied health professionals. 2. Facilitates the credentialing function for physicians and allied health professionals. Critical activities include oversight of the completion of the Texas Standard Credentialing Application and the CAQH online credentialing application as well as enrollment in the Federal and State Medicare and Medicaid programs. Additional functions include facilitation of hospital privileging with all Methodist Health Care System hospitals, expiration management of all licenses, certifications, insurance, etc., and delineation of responsibilities for all allied health professionals .3. Develops and maintains oversight of all credentialing policies and procedures through the establishment of a credentialing committee comprised of member physicians of the organization. Provides ongoing staff support to this committee.4. If credentialing functions are delegated to a third party, maintains policies and procedures for delegated credentialing services and provides management and oversight to the Credentialing Verification Organization (CVO) and conducts onsite audits on a periodic basis and documents findings. Through the audit process, ensure findings are compliant with requirements of third party managed care organizations that look to the CVO for TMHPO credentialing information.5. Regularly communicates with providers, TMHPO Department Administrators, and other TMHPO departments regarding credentialing status and information.6. Oversees the ongoing maintenance of a complete organizational listing of all providers, credentialing dates, and managed care plan participation.7. Has a working knowledge of NCQA and JCAHO physician credentialing requirements.8. Sets performance criteria for credentialing staff, communicates expectations and outcomes, and evaluates individual and team performance. Manages staff by providing coaching and guidance in specific areas related to overall job performance and accountability.9. Provides relevant information to department director for effective budget planning. Monitors department expenditures and manages resources to support the approved budget.10. Attends to other duties as assigned.11. Demonstrates the I CARE values in the course of carrying out responsibilities.12. Follow all safety rules while on the job. Reports accidents promptly and corrects minor safety hazards.Experience - External:EDUCATION REQUIREMENTS Bachelors degree in Healthcare Administration, Business Administration, or other relevant field. Masters degree preferred.EXPERIENCE REQUIREMENTSFive plus years of progressively responsible experience in project and/or operations management with at least 5 years in a healthcare organization. Previous experience in a clinical setting and/or with direct physician interaction. Experience in directing the work of others to accomplish goals.CERTIFICATES, LICENSES AND REGISTRATIONS REQUIREDCPMSM or CPCS certification is a plus.SPECIAL KNOWLEDGE, SKILLS AND ABILITIES REQUIREDKnowledge of accrediting and credentialing requirements and associated practices. Ability to utilize information systems for tracking, monitoring, and analysis. Ability to effectively communicate (verbal and written) with various clinical and non-clinical audiences.

OUR MISSION:Leveraging Technology to Improve Healthcare-One Person, One Touch at a Time.WHO WE ARE:Alere is a leader in specialized health management services. Alere offers job seekers the opportunity to become part of the most patient-centered company in the health services sector today. Aleres continuously expanding umbrella of services includes wellness, healthy living, productivity improvement and complex care management.JOB SUMMARY:The role of the Health Promotions Manager is to create, implement, support, evaluate, and refine the health improvement programs for Aleres clients. Manage multiple client locations. Hours are approximately 40 per week. Local and statewide travel to client locations will be required approximately 20% of the time.PRINCIPAL RESPONSIBLITIES:- Implement and manage client personal health support strategies, including goals and objectives, program design, incentive plan, communication time lines, and evaluation process.- Work closely with Client Managers for each client to create and implement complete program delivery.- Design, build and maintain online incentive tracking programs for clients using system tools and resources.- Maintain online Resource Center for clients using system tools and resources.- Consult with clients as needed to support requests about incentive design, risk reduction, etc.- Maximize use of each clients internal resources, including employee communications, supportive programs, and related departments.- Work with client to design, implement, and evaluate surveys and forms.- Prepare reports for client presentations.- Assist in implementing and facilitating wellness committee meetings with and for the clients.- Continually monitor assigned clients health improvement efforts, generate status reports for clients, and make recommendations as needed.QUALIFICATIONS:EDUCATION/EXPERIENCEBachelors degree required; Masters degree a plus. Experience in employee wellness and/or population health management is required. Knowledge in human resources and/or benefits is preferred. Additional requirements include demonstrated skill in program development, implementation, evaluation, marketing and promotions; and excellent leadership and customer service skills.PROBLEM SOLVING/DECISION MAKING:- Capable of making independent decisions and working as part of a team.- Ability to handle multiple tasks and projects with a positive attitude and results oriented mentality.COMMUNICATIONS SKILLS:- Excellent verbal and written communication skills presentations to clients senior management.- An aptitude for public speaking; and ability to conduct client meetings.- Team Player e.g. ability to relate to and work with individuals at all levels within the organization.TECHNICAL SKILLS:Internet, Outlook, Word, PowerPoint, and Excel skills.WHAT WE OFFER:Alere offers competitive salaries and a range of challenging positions in clinical services, information technology, operations, administration, sales and many other job categories. Our employees enjoy an inclusive environment in which we celebrate teamwork, innovation and customer focus and acknowledge everyones accomplishments. Teamwork is Key: Aleres strong team of enthusiastic, highly-skilled professionals understands that the continuation of Aleres success requires communication, trust, optimism, initiative and the willingness to support one another in the creation of a positive, productive and enjoyable workplace environment. If you are interested in working at Alere, we offer plenty of opportunities to develop or establish a career in this exciting new industry.GENERAL REQUIREMENTS:All staff members are expected to be committed to the mission, vision and values of Alere, which includes involvement in quality improvement activities and a willingness to work within a culturally diverse environment.Alere is an Equal Opportunity Employer and complies with the requirements of the Americans with Disabilities Act. We encourage all qualified individuals to apply.

The Reading Hospital Medical Group is a network of more than 100 physicians and other healthcare providers delivering primary care services to the community.

POSITION SUMMARY: The Quality Management Coordinator leads and facilitates research development, implementation, re-evaluation, analysis and ongoing oversight and administration of all quality programs, in addition to monitoring clinical process guidelines/requirements for The Reading Hospital Medical Group practices.ESSENTIAL FUNCTIONS: 1.Develops and implements quality programs using evidences based medicine, national quality standards and regulatory requirements.2.Remains updated with current standards of practice.3.Collaborates with the Medical Director and Administration.4.Administers and oversees quality programs.5.Analysis of quality assessments.6.Coordinates communication related to quality information.7.Provides education related to quality programs, processes, and procedures.8.Coordinates and administers reports and information for the Quality Improvement Committee.9.Manages personnel involved in support and implementation of quality programs.10.Ensures that quality standards are established, communicated and enforced.11.Responsible for orientation of new staff members.12.Responsible for Quality Management budget.13.Is familiar with regulatory agency requirements and assists with preparation for survey/reviews as it relates to Quality Management.14.Performs other related duties deemed necessary by the Medical Director and Chief Operating Officer.Education and Experience:Registered Nurse and/or degree in health care related field.Current licensure in the State of Pennsylvania.Current cardiopulmonary resuscitation (CPR) and first aid certifications.Minimum of five (5) years experience in a clinical area.Quality Management experience required.Physician office experience required.Detailed medical chart auditing experience required. Knowledge, Skills and Abilities:Knowledge of quality processes and analytical skills.Knowledge of national quality standards and regulatory requirements.Excellent communication skills.Active listening skills.Ability to function independently.Excellent organizational skills.Effective writing skills.Ability to provide verbal presentations.Management of personnel resources.Computer skills including Microsoft Work, Excel and Access databases.Ability to practice within the legal and ethical framework as established by The Reading Hospital Medical Group.Additional Requirements:Must possess a current Pennsylvania drivers license and have a car available for travel.Involvement with appropriate professional organizations/activities encouraged.Physical Demands:Individuals must be able to meet established specific physical requirements of the job including sitting at a desk, reaching, lifting (up to 35 pounds), pulling, bending, stooping, twisting, standing, walking and driving a car. Working Conditions:Normal office environment. Travel to medical practices is required.

Key Role:Provide analytical support and subject matter expertise in the areas of force health surveillance, deployment occupational and environmental health, preventive medicine, health risk assessment, and epidemiology to the DoD deployment force health protection (FHP) program. Ensure the currency and effectiveness of DoD deployment health policies addressing the full spectrum of pre-, during-, and post-deployment health requirements. Review existing DoD deployment health policies and programs and identify Joint capability gaps, deficiencies, and adverse trends. Provide analytical support for proposing and supporting the revision or development of new policies, programs, products, and risk management approaches to address these gaps, deficiencies, and trends. Support DoD, Joint, and international working groups by providing DoD health affairs-level representation, leadership, vision, and subject matter expertise. Represent the client at meetings, conferences, and other venues internal and external to the DoD. Basic Qualifications:-12+ years of experience with the Military health system-Knowledge of military public health, preventive medicine, and occupational and environmental health-Knowledge of the intricacies and full spectrum of deployment health-Secret clearance-MS or MA degree in Public Health Additional Qualifications:-Experience with policy development at a Major Command, Military Department, Combatant Command, or Joint Staff-Experience with Military deployment-Knowledge of the Joint Capabilities Integration Development System (JCIDS) process-Knowledge of health risk communications-Possession of excellent analytical skills-Possession of excellent oral and written communication skills-Possession of excellent facilitation skills-MD or Doctor of Veterinary Medicine degree preferred; PhD degree a plus Clearance:Applicants selected will be subject to a security investigation and may need to meet eligibility requirements for access to classified information; Secret clearance is required. Integrating the full range of consulting capabilities, Booz Allen is the one firm that helps clients solve their toughest problems, working by their side to help them achieve their missions. Booz Allen is committed to delivering results that endure. We are proud of our diverse environment, EOE, M/F/D/V.

Single specialty 6 physician gastroenterology group needs administrator for clinic as well as surgery center and real estate entity.

Manages daily operations of the clinic and the real estate, which include controlling labor costs and expenses. Daily operations of the surgery center are coordinated with the Director of the Center.Ensures customer service is of the utmost importance. Evaluates and recommends changes in procedures to ensure continued patient satisfaction and referring physician satisfaction. Maintains staffing for the clinic and surgery center, a total of 40 employees. Duties over staff include interview processes, suggestions of candidates for openings as well as recommendation of terminations. Establish employee goals, conduct performance reviews and employee improvement.Oversees bi-weekly payroll and payment of payroll liabilities. Conducts staff meetings to include all OSHA, HIPAA, AAAHC and Medicare/Medicaid mandates. Keeps all employees informed of any new policies or changes that have been made. Maintains a safe work environment for the staff as well as the patients. Analyzes employee benefits each year prior to renewal to ensure the best possible rates are obtained. Enrolls all employees in appropriate benefits as they become eligible. Reviews accounts receivables of the clinic and the surgery center on a regularly basis with the Director of Business Services to include accounts written off to bad debt, ratio of receivables per days in accounts receivable. Oversees all contracts with managed are insurance companies for both the clinic and the surgery center.Maintains relationships and contracts with service providers for the clinic, the surgery center as well as the real estate entity.Markets the malpractice insurance for the physicians and the surgery center for the best possible rates each year. Also, maintain the property and liability insurance for all entities.Maintain the accounts receivable and payables for the clinic, surgery center and the real estate entity.Balance the books for the clinic, surgery center and the real estate and takes to the accountant for review each month.Calculate and submit 401K/Profit sharing contributions.

JOB SUMMARY: Plans and directs the administrative and operational activities and functions of the Satellite Health Clinics to ensure highest quality developmentally appropriate patient care consistent with established professional, regulatory and governmental standards and guidelines MINIMUM QUALIFICATIONS: 1. Masters degree in Healthcare Administration or equivalent combination of education and experience preferred 2. Must have 5 years senior management experience preferably in a multi-specialty clinic ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: 1. Plans, develops and directs the daily administrative operations of the Satellite clinics to ensure timely and efficient delivery of patient care services consistent with the annual organizational plan, mission and vision of the Corporation 2. Develops operational and financial outcome measures, related tracking and monitoring systems and a mechanism to integrate efforts into organization-wide Quality Improvement systems 3. Develops and implements policies and procedures to ensure compliance with all federal, state, licensing and regulatory requirements and practices 4. Develops, implements and maintains standards, systems and processes to ensure excellence of assigned areas which supports the mission, goals and objectives of the hospital 5. Evaluates and selects equipment and supplies 6. Develops, manages and supervises purchasing and management of equipment and instrumentation to ensure availability of proper and functioning equipment for safe delivery of care 7. Works collaboratively with a variety of stakeholders to recommend, develop and implement methods/procedures for coordination of services with related patient care activities. 8. Prepares a variety of monthly, quarterly and annual operational and regulatory reports 9. Works collaboratively and cooperatively with other hospital sponsored healthcare service providers to plan and coordinate health fairs, immunization clinics and other health/wellness screening programs and clinics 10. Develops and maintains effective working partnerships with physicians by facilitating appropriate involvement in departmental planning and operations to ensure a collaborative work environment 11. Plans, develops and manages strategies and operational budgets to ensure provision of services consistent with desired objectives delivered responsibly 12. Develops and supervises staff through provision of timely feedback and use of appropriate Human Resource policies and tools to ensure maintenance of desired performance and quality standards 13. Participates in departmental orientation, on the job training and quality assurance programs/initiatives 14. Participates in a variety of department and hospital educational programs to maintain current skills and competency levels; identifies and discusses performance or training needs with Supervisor -------------------------------------------------------------------------------- Additional InformationPosition Type : Full TimeShift : DayRef Code: GHRC 09-220

Department: Neuroscience Institute Schedule: Full Time Shift: First Shift (Day) Hours: 40

Job Details: Summary of Position DescriptionReporting to the Vice President for Operations, this position provides administrative direction to all aspects of the MMC Neurosciences Institute, leading program development activities, related budget development and operational planning efforts. Works in close collaboration with the Medical Director of the Neuroscience Institute and physicians in neurosurgery, neurology, physiatry, psychiatry, interventional radiology and other specialties to establish neuroscience goals, and to design and carry out major neuroscience program initiatives. Coordinates with nursing administration and patient unit leadership to integrate neuroscience plans with patient care unit initiatives. Works with subordinate data analysis and support staff and, through directly reporting intermediate managers, with clinical staff in EEG and Stroke programs. Work is performed with considerable independence and is evaluated by the Vice President for Operations through reports, discussions and results obtained.Minimum Knowledge, Skills, and Abilities Required1. Knowledge of healthcare systems, including but not limited to the organization and financing of healthcare, health policy, process/performance improvement, and healthcare delivery.2. Knowledge of relevant practice in medical care, patient care, and support systems.3. Knowledge of, and preferably experience with, process improvement techniques, methods and facilitation. Proven ability to lead work teams in healthcare settings.4. Familiarity with clinical, operational, financial and legal issues affecting strategy and operations in healthcare sector.5. A high level of analytical skills necessary to assist in the development and implementation of new systems, techniques, to assess patient care and business workflow and/or procedures, to help determine departmental needs, to support improvements in departmental functioning, and to prepare special and recurring reports or analysis.6. Experience and skills necessary to provide sound budgetary management of entire Neuroscience Center enterprise, including those areas that are directly managed as well as those that are coordinated with others.7. Experience and skills necessary to hire and manage staff supporting all Neuroscience Center functions.8. Excellent organizational skills necessary for project planning, definition, implementation, and evaluation of effectiveness.9. Proven experience in managing other professional and support staff and departments and/or business units.10. Excellent written and verbal communication skills. Proficient in the use of computers and in managing data.11. Demonstrated ability to conceive and execute new business programs in healthcare enterprises.12. Ability to work both independently and in collaboration with teams of individuals from diverse settings and backgrounds.13. Experience, understanding and familiarity with the complex management problems of a complicated, multidisciplinary, multi-specialty acute care program such as the Neuroscience Center.14. Knowledge of project management, administrative practices, and hospital/healthcare systems normally acquired during 5 - 7 years of progressively responsible administrative work experience. Familiarity and comfort with complex administrative and clinical relationships in tertiary care settings.15. Minimum Masters degree in healthcare related field or business or equivalent experience of greater than seven years in relevant healthcare settings.

At Orlando Health, you can develop the healthcare career that is right for your individual goals. As a family of specialty and community hospitals, each has its own character, a natural extension of the specialized services offered. It is our mission that unifies us to offer superior service and provide quality healthcare to the people of Central Florida. We are currently hiring for the following position:Healthplan (Managed Care) Provider Credentialing Specialist Complete the review of all credentialing and recredentialing applications submitted to the Healthchoice health plan for inclusion in the provider network. Obtain timely and accurate primary source verifications for all credentialing and recredentialing activities. Present any findings in both verbal and written reports to the physician-led committees. Schedule, coordinate and oversee the successful completion of audits from both state regulatory agencies and entities who delegate health plan credentialing to Healthchoice. Assure compliance to state, regulatory and national accreditation standards. Maintain all credentialing and recredentialing files.Candidates must have 3 years of managed care provider credentialing experience. A strong working knowledge of Microsoft Office and Access database and knowledge of Access query writing required. Must have demonstrated excellent organizational, verbal communication and interpersonal skills. Must be flexible to attend early morning meetings and comfortable with presenting to Medical Directors and other physicians. An Associates degree or equivalent years of experience may be substituted on a two-for-one basis. Must have certification by the National Association of Medical Staff Services, or be actively pursuing these requirements to achieve certification based on eligibility.

Lead Credentialing SpecialistFranklin Square Hospital CenterWhite Marsh area, Baltimore, MD

Lead Credentialing SpecialistFranklin Square Hospital CenterWhite Marsh area, Baltimore, MDIn 2010, Franklin Square Hospital, a member of the esteemed MedStar Health, will open a beautiful new $175 million, seven-story tower with 291 private patient rooms, expanded emergency department, and 50-bed critical care unit. Due to unprecedented growth throughout our organization, we have exciting new job opportunities for the following position:Lead Credentialing Specialist(Full Time)Description:Performs the initial and reappointment credentialing process and related credentialing functions to ensure compliance with Medical Staff Bylaws and state, federal, and other outside regulatory agencies. Requirements include:5 years hospital credentialing experienceMust have excellent communication skills and be proficient with computer software Experience in credentialing software HS diplomaAA degree is preferredIn return for your skills, we offer a competitive salary and comprehensive benefits, along with FREE parking!

Vice President, Physician & Business Development Provides senior leadership at the system level, responsible for leadership and growth of the physician integration strategies, including but not limited to: physician recruitment and retention, ambulatory care development, physician referral development, physician joint ventures, and the facilitation of network services to support the organizational goals. Has overall responsibility for the strategic planning and operations of the practices and ancillary services in the First Coast Primary Care Network, Spine & Brain institute and other current and future hospital-based practices.Position Requirements-Masters degree in Healthcare Administration or related field, FACHE certification preferred. 7-10 years of healthcare management experience required. Minimum of 5 years experience over a major group of 25 physicians, multi site. Experience in physician recruitment and retention, practice acquisitions, complex negotiations, contracts, program development, interpret and use complex data. Understands and is committed to the philosophy, mission and core values of Ascension Health.

Washington State Department of Corrections Health care services provide offenders on-site health care which includes medical, dental and behavioral health. We are on the forefront of Public Health and we invite you to join our team!

The DOC Health Services Division is seeking a highly motivated and dynamic leader for the executive role of Director of Behavioral Health. This position is responsible for directing the statewide behavioral health programs and services, including mental health, psychiatry, and dangerous mentally ill offenders. Health Services Division: Health care services are provided to offenders by on-site health care staff which includes medical, dental, behavioral health (including mental health care and chemical dependency treatment). The Department of Corrections (DOC) assures that health care providers have the necessary licenses or certifications to practice in Washington State. The Department has several options for providing mental health care to those who require treatment. All major institutions can provide temporary or short-term in-patient psychiatric care for crisis management and stabilization. Professional mental health staff, including psychologists and psychiatrists is available to meet with offenders and conduct psychological and psychiatric evaluations. Staff may also provide individual and group therapy. Agency Profile: The Department of Corrections, as a partner in the criminal justice system, enhances public safety, administers criminal sanctions and programs in accordance with the law, and provides leadership for the future of corrections in Washington State. The mission of DOC is to improve public safety. The Department consists of the Office of the Secretary, Prisons Division, Community Corrections Division, Government, Community Relations & Regulatory Compliance Division, Administrative Services Division, Offender Treatment & Re-Entry Programs Division, and Health Services Department. The Department employs over 8,100 staff and has a biennial budget of approximately $1.8 billion. The FY10 Mental Health Budget is $22,930,824. There are 155.5 FTEs in the facilities and 10 at our headquarters located in Tumwater, WA. For additional information about the Department of Corrections, please visit www.doc.wa.gov. Responsibilities: Directs the development and implementation of the parts of the strategic plan that relate to behavioral health; including recommending changes in behavioral health organizational structure and programs. Responsible for developing behavioral health policies/procedures and evaluate mechanisms to ensure consistency with the law and other standards. In partnership with internal and external stakeholders, build a network of resources to support and improve the provisions of mental behavioral health services, and the transitioning of behaviorally disordered offenders to the community. Works in collaboration with others to ensure staff and resources are in place to provide offenders with appropriate and timely behavioral health services consistent with established standards. Ensure that processes are established for the clinical oversight of other behavioral health staff. Establishes measureable outcomes for the behavioral health program. Ensures that quality improvement processes are developed and implemented statewide. Lead DOC efforts to improve recruitment and retention of qualified mental health providers. Develops and implements staff training. Creates a work environment that values high ethical standards, emphasizes safe, high quality behavioral health care, nurtures teamwork and encourages activities which lead to continuous improvement. The successful candidate will have: Masters Degree in behavioral health related field from an accredited college or university whose accreditation is recognized by the US Department of Education and the council for Higher Education Accreditation (CHEA). Experience in the direct provision of behavioral health services including knowledge and experience in a forensic or correctional setting. Five years experience managing complex mental health service delivery systems including inpatient and outpatient as well as overall budget, policy and HR responsibility. Experience in a governmental setting preferred. Possess strong interpersonal skills, experience in directing behavioral health operations, strategic and operational planning, budget planning and monitoring, and strong system/program design. Possess strong data analysis skills and knowledge of related computer systems. Exceptional communication skills with the ability to communicate orally and in writing with a variety of individuals ranging from correctional administrator and staff, health care professionals to patient advocates and other laypersons.

Vice President, Business Development(Job Number: 9723-13203) Kansas-Overland Park-Menorah Medical CenterSchedule: Full-time Description Job Summary The Vice President, Business Development is responsible for creating, communicating, coordinating, and implementing the strategic planning process for Menorah Medical Center. Responsibilities also include identification and execution of business development opportunities and strategies. Essential Duties: * In collaboration with the CEO, establishes a strategic planning process and hospital planning cycle, ensuring that the framework and process focus on the strategic business drivers for the hospital focused on inpatient service line growth, service, quality, people, financial, and critical community and internal relationships.* In collaboration with other key Hospital leaders and facility CEO develops an inpatient service line plan that includes physician development, recruitment, sales and programs. *Outpatient service line growth will also be a focus.Identifies key growth opportunities in the market for potential joint ventures, new development or acquisition.* Establishes a hospital strategic plan review and challenge process, ensuring that facility senior teams present and support targeted actions to achieve desired results around each of the key business drivers.* In collaboration with other key Hospital leaders, ensures the alignment and integration of hospital and corporate resources around the facility and division strategic business plans, including the projection of capital, operating, information technology, and human resources needs.* Establishes and coordinates a process for ensuring facility accountability and communication around progress made on strategic initiatives; facilitates support and collaboration from division and corporate resources to ensure successful execution of facility strategic business plans.* In collaboration with the VP, Human Resources ensures that executive performance goals and development support key strategic and business drivers within the hospital.* Serves as a customer lead to facility and senior leadership to identify issues and risks, to collect information for hospital-wide decision-making, and to provide value-added services to the key business drivers. * Ensures availability of key information required for hospital-wide decision-making.* Evaluates, investigates, and remains abreast of new technology, public policies and environmental activities which have an impact on the operation of the facilities; remains fully familiar with regulatory standards impacting hospital operations.* Provides primary leadership and direction for new business development within the hospital, ensuring that sales, business development, and operations leaders collaborate on desired methods and results to achieve the same. Qualifications Job Specifications: Education: Requires a minimum of a Masters Degree in Hospital Administration, Business Administration, or similar graduate degree from an accredited college or university Experience: Requires a minimum of ten (10) years of progressive healthcare facility leadership experience, five (5) of which must have been in a free-standing, acute care facility; previous multi-facility and/or hospital marketing and/or planning management experience preferred. Emphasis on inpatient service line development, physician arrangements, and outreach skills a must. Licensures/Certifications: American College of Healthcare Executives fellow status expected within two years of assuming the position. Required Competencies:* Ability to establish and effectively communicate a vision for business growth* Ability to research, understand, articulate changes in, and determine the impact of changes in public policy, environmental issues, and community economic trends* Ability to focus on desired outcomes and prepare specific business development and/or operational plans to achieve the same* Ability to observe, perceive, and understand obstacles to superior quality, service, and financial performance for the facility.* Ability to demonstrate understanding of, articulate, and make balanced decision-making* Ability to lead permanent and temporary teams of individuals from a variety of backgrounds and disciplines in the best interest of the patients served, physicians, and the facility.* Ability to make effective presentations to a variety of constituents, including physicians, board members, facility leadership, hospital leadership, group and company operations leadership. *Ability to collaborate and demonstrate previous successful experience with service line, business development, and other operations leaders to develop new and existing business in accordance with the facilities strategic business plan.Intermediate Excel capabilities

Billing Compliance Specialist, Sr - Tampa, FL

This position is responsible for the day-to-day operations of the Cancer Centers Physician Billing Compliance Program. This position provides guidance to the Director of Corporate Compliance on compliance issues related to policy, risk identification and regulations governing the Cancer Centers physician billing activities. This position will also support the Director of Corporate Compliance in developing and implementing a compliance program that will ensure that necessary compliance related policies and procedures are established, implemented and updated in a manner that adequately measures and reports regulatory compliance in physician billing activities of the Cancer Center. The position will also act as support staff to the Corporate Compliance Steering Committee and under guidance from the Corporate Compliance Steering Committee, support appropriate reporting of physician billing compliance issues to the Joint Corporate Compliance Committee of the Board.

Palmetto Health received national recognition this year when it was named one of the top 100 places to work in health care for the second year in a row. Additionally, the American College of Surgeons National Accreditation Program for Breast Centers (NAPBC) awarded Palmetto Health Breast Center full accreditation. It is the only facility in South Carolina and one of 70 in the entire country to receive this status.The Dental Center Administrator is responsible for managing the dental center. Management responsibilities include planning, staffing, and directing the activities and operations of the dental center to include patient care, budget, billing and collections, compliance and planning. The administrator is responsible for supervision of dental hygienists, dental assistants, and administrative staff in the dental center; for facilitating departmental projects and for developing and implementing marketing plans. Also acts as a liaison between staff, dentists and administration.Key Responsibilities:People:- Manage human resources by determining qualifications and selecting qualified employees, working with staff to set appropriate goals, monitoring progress toward achieving goals, providing training for employees, and resolving disciplinary issues.- Develop educational materials for dentists and residents to improve documentation and maximize reimbursement. Administer department educational programs.- Achieves specified results under the People Pillar of Performance.Service:- Implement programs and policies to ensure that practice consistently provides customer service consistent with the organizations goals.- Achieves specified results under the Service Pillar of Performance.Quality:- Manage the environment by developing, implementing and monitoring processes to reduce and control environmental hazards and risks; preventing accidents and injuries and maintaining safe conditions for patients, staff and visitors.- Implement policies and procedures to ensure that practices consistently provide safe and effective patient care and meet the organizations quality goals.- Continuously assess and improve the departments Quality and Performance Improvement activities through data, analyzing the data, implementing educational programs - Achieves specified results under the Quality Pillar of Performance.Finance:- Develop and manage the department budgets to ensure that the practices meet profitability expectations as outlined in the yearly budget and organizations financial goals.- Provide effective leadership by: coordinating operations between registration and other ancillary areas to ensure quality of billing information; communicating with third party and governmental carriers in regard to claims processing difficulties or data; representing the department in dealing with internal and external contacts.- Manage information by providing information systems and data management for department operations and performance improvement.- Achieves specified results under the Finance Pillar of Performance.Growth:- Develop and implement growth strategies to include new locations, expansion of services within current practice, or other initiatives as identified by the organizations growth goals.- Continually assess, evaluate, and recommend enhancements to dental and medical equipment; arrange for - Achieves specified results under the Growth Pillar of Performance.Requirements:Education: BS in Business or Healthcare Administration required; MHA or MBA preferred.Experience: 5 years progressive management experience within a healthcare practice setting; dental practice experience preferred.Number and Type of Employees Supervised: 15 to 20 administrative and clinical employeesSpecial Training: Thorough knowledge of day to day operations of a professional healthcare office including medical/dental terminology and coding. Proficiency with personal computer and patient registration software required. Proven analytical thinking ability, good communication skills, good organizational skills and good leadership skills required.At Palmetto Health we believe everyone should love the job theyre in. Thats why our first job is listening, to find out what our employees want and need, for both now and in the future. We value their time and talents. And as South Carolinas largest healthcare organization, were able to show our appreciation in big ways, through flexible scheduling, generous benefits, and unlimited opportunities for their personal and professional growth.We have three hospitals in two locations. Palmetto Health Baptist and Palmetto Health Richland are located in the capital city of Columbia, one of CNN Money Magazines Most Affordable U.S. Markets. If youre considering relocating, Famously Hot Columbia, SC is ready to welcome you with our southern hospitality. Columbias cool factor is undeniable. This sultry southern city heats up year-round as a home base for historic exploration, the arts and family fun. Our historic state capital simmers with cool river-edged scenery, open-air restaurants, live music and sports. Columbias affordable cost of living and attractions like our world-class zoo, the Southeasts largest childrens museum and museums of art and history make it an ideal place to call home. Find out why Columbia is the new southern hotspot at www.columbiacvb.com.Our third hospital is located in the upstate town of Easley, where youll be just a short drive from the breathtaking Blue Ride Mountains and smooth Carolina beaches. This beautiful southern city is rich in Native American history and boasts some of the states most beautiful natural treasures, including the cascading wonder of Twin Falls, breathtaking vistas of Table Rock and the boaters delight, Lake Keowee. Palmetto Health offers competitive salaries, excellent benefits, and a rewarding work environment. EOE.

Northwest Texas Healthcare System

Provides day to day operations for ancillary or assigned departments. Implements strategy of CEO and COO. Manages assigned departments efficiently and effectively to maximize quality of services and profits of the hospital. Knowledge: Knowledge of the financial implications of decisions including budgeting and forecasting for a limited number of departments and/or projects is required. Skills: Must be detail oriented and able to focus on nuances of multiple hospital operations. Effective communication skills with diverse groups, including physicians, managers, and employees is required.

Provides day to day operations for ancillary or assigned departments. Implements strategy of CEO and COO. Manages assigned departments efficiently and effectively to maximize quality of services and profits of the hospital. Requirements Knowledge: Knowledge of the financial implications of decisions including budgeting and forecasting for a limited number of departments and/or projects is required. Skills: Must be detail oriented and able to focus on nuances of multiple hospital operations. Effective communication skills with diverse groups, including physicians, managers, and employees is required.Education: Bachelor’s degree required, Master’s degree preferred.Work experience: Two to three years of hospital management experience at a mid or senior level.

Aventura Hospital and Medical Center

There’s never been a better time to consider Aventura Hospital and Medical Center. A recent $130 million expansion project has transformed our 407-bed facility, delivering advanced technology, state-of-the-art equipment and a new North Tower. In 2008, HealthGrades recognized Aventura for excellence in clinical performance – in the top 5% nationwide! All this and a commitment to building the finest team possible. We currently have an opportunity for a Cardiovascular Services Administrator to lead our team. The Administrator facilitates the integration and teamwork of all cardiovascular departments for the optimal care of patients. Areas of responsibility include:• Community Outreach• Emergency Department/Chest Pain Center• Non-invasive Cardiology Services (EKG, Stress, Holter, Echocardiography)• Cardiac Cath Lab• Cardiovascular Operating Room• Cardiovascular Nursing Units• Cardiac Rehabilitation Job responsibilities include:• Working in conjunction with the facility administrative staff and the Cardiovascular Services Medical Director to ensure the highest level of care for patients• Ensuring that all services provided meet all regulatory requirements and guidelines• Working with physicians to adopt and incorporate quality initiatives, understand economic considerations, and increase physician/hospital alignment• Developing strategic and tactical plans to maximize the effectiveness of cardiovascular services at the facility, including budget planning and management (capital and operational)Qualified candidates will possess:• Bachelor of Science Degree• Master’s Degree preferred• A minimum of 5 years (10 years preferred) in cardiovascular services, with at least half of those years in cardiovascular leadership• Past participation in a cardiovascular services program preferredYou’ll love our flexible benefits program, which is designed to meet the individual needs of employees. Here are just a few of the many benefits we offer our team members:• Long Term Disability• Life Insurance • HCA Retirement & Pension Plan • 401K with employer matching • Paid Time Off• Tuition/Continuing Education Assistance • HCA Scholarships • Holiday Premium Pay Our prime location – nestled between Miami and Ft. Lauderdale – means you’ll be surrounded by the very best that South Florida has to offer.

Why Work at Children´s.... Are you interested in working with a team that has been recognized, both locally and nationally, for providing excellence in pediatric health care? If so, The Children´s Hospital is a leading pediatric health-care network dedicated 100 percent to caring for kids. It has been designated one of the nations top ten outstanding childrens hospitals by U.S.News & World Report and Child Magazine. With more than 600 experienced experts representing the full spectrum of pediatric specialties, Children´s is home to many nationally and internationally recognized medical and research programs. Childrens provides complete pediatric care at its main campus and through a network of care that includes eleven Childrens Care Centers and more than 400 outreach clinics. A career at The Children´s Hospital will challenge your skills, stimulate your emotions and make you proud of your accomplishments.Qualifications: Bachelors required; MHA or MBA strongly preferred, or related graduate degree desirable.Previous transplant experience a plus, not required. Needs to be a creative individual with strong business skill who is comfortable working and can excel in a highly matrixed environment. Strong ability to organize and prioritize.This position will coordinate transplant activities at TCH: Heart, Liver, Kidney, BMT. Top candidates should have minimum of five years work experience in a complex health care environment: Academic medical center experience preferred. Minimum of three years of leadership experience. Experience working with physicians - incorporating unique needs of physicians into the practice Strong relationship building skills Strong business acumen (financial analysis, business development, marketing, planning, and services) and strategic planning skills Ability to understand and implement change management processes Able to effectively operate in a matrix organization Leadership skills in team development, goal setting and execution, problem identification and solution development. Demonstrated knowledge of applicable best practices Excellent interpersonal and organizational skills to present, communicate, and interact effectively with clinical and laboratory medical staff and management at all levels of the organization.Physical Requirements:Ability to Perform Essential Functions of the Job Job Overview: TCH is a center of excellence in pediatric research, education, advocacy and clinical programs and services. This person will report directly to the Chief Medical Officer and maintain a matrixed accountability to multiple hospital VPs and senior physician leadership. Responsibilities include strategic and operational leadership including marketing and business development, contracting, philanthropic activities, clinical management to ensure best outcomes and consistent patient experience, and research coordination. Will have primary responsibility for ensuring 100% regulatory compliance. Will need to prioritize and allocate financial and human resources for the service line, and facilitate collaborative initiatives around shared transplant issues. Will work collaboratively with UNOS and University CCTCARE. Will manage transplant service line budgetEqual Employment Opportunity:It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors. We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or any other status protected by law or regulation. Be aware that none of the questions are intended to imply illegal preferences or discrimination based on non-job-related information. Additional Information:Department Name: Gastro Service Line Administration. This position will coordinate transplant activities at TCH: Heart, Liver, Kidney, BMT. Job Status: 40 hours per week, Benefit Eligible Shift: Monday through Fridaym 8am-4:30pm

Billings Clinic, a MAGNET designated, regional healthcare foundation in Billings, MT, & structured similarly to Mayo Clinic, is comprised of a 225-physician multi-specialty clinic, a 272-bed Level II trauma hospital, and a 125-bed long term care facility.

Come Home to Montana ~ Big Sky Country! We are currently recruiting for a Research Manager to join the largest Research facility in Montana.Join our dedicated team in advancing the newest research therapies and treatments available for patients in our area. The successful candidate for this exciting position will be responsible for management of our Research Center at Billings Clinic located near the Rocky Mountains in Billings, Montana. Accountability includes: objectives, policies, and standard operating procedures for research, quality of services, short and long range planning, fiscal control, physician and inter/intra-departmental relations, and personnel management. Maintains the quality standards, relationships with sponsors, grant agencies, patients and research development. In collaboration with physician leadership and other health care providers, develops and implements short and long range research programs which enhance department services. Leads department in the overall marketing, program development, and service priorities. Masters degree with at least 2-3 years of experience, or extensive experience in research- related business, finance, administration or related area preferred; demonstrated management/leadership and program management skills related to the position expected. Past experience in clinical research or healthcare field highly desirable; current licensure/certification (or eligible for) in the State of Montana as appropriate or required.To apply, please visit our website at www.billingsclinic.com or call us at 800-332-7156 ext. 2542. EOE

Delphi Healthcare Partners is seeking a dynamic individual to join the team as a Director of Operations for our Western Region. Working closely with the Vice President of Operations, this position would be responsible for leading and maintaining day-to-day operations of each contract in a variety of specialties including Orthopedics, OB/GYN, General Surgery, Intensive Care Medicine, and Anesthesiology. All contracts are with hospitals. The Director of Operations will be able to effectively interact with all levels of hospital management, manage onsite Program staff to support Delphi services and assist as needed to manage Delphi physicians. Ideal candidate must have Bachelors degree, 7-9 years of experience in a management role either in a hospital setting or multi physician practice, experience directly managing a group of individuals. An MBA is preferred, experience in managing in a hospital setting also preferred. Ideal candidate will be results oriented, customer service driven. Substantial travel is required of this position. This is a unique and exciting opportunity for a seasoned healthcare professional. Delphi offers a competitive compensation and benefits package.

CONTINUUM ADMINSTRATOR

This position supports Kaiser Permanente´s code of conduct and compliance by adhering to all laws and regulations, accreditation and Licensure requirements, and internal policies and procedures. Kaiser Permanente is proud to be an equal opportunity/affirmative action employer.DEPARTMENT: Administration SCHEDULE: Full-Time Regular, 40hrs/wk, Day Shift, Monday-Friday, 8:30am to 5:00pm.EDUCATION/CERTIFICATION/ LICENSE: Bachelor´s degree in Health Services or Business Administration, Public Health, Nursing or related discipline required. ´Current valid California RN license strongly preferred´QUALIFICATIONS: Extensive experience, typically over ten years, in clinical and managerial roles in a multi-faceted health care system and multi-service provider setting required. Demonstrated success in meeting/exceeding performance expectations. Demonstrated expertise in project management, problem solving, verbal and written communication and collaborative working skills. Ability to lead and manage through influence and change. Thorough knowledge of quality assurance, resource management, health plan regulatory and licensing processes including federal and state laws and regulations such as: Knox-Keene Act, Federal HMO Act, Public Employees Medical and Hospital Act, The Joint Commission, and all applicable Medicare and Medi-Cal regulations. Demonstrated ability to function collaboratively in a multi-entity partnership environment. Must be able to work in labor/Management Partnership environment. Ability to manage various stakeholder interests and demonstrated skills in facilitation, problem solving, decision making, persuasion and team-orientation.Preferred Qualifications: Master´s degree in one of the aforementioned fields preferred.SKILLS TESTING: N/APOSITION SUMMARY: Reporting to the Executive Director for the Continuum, with secondary accountability to Area Managers, this position is responsible for the development, planning, management, and the integration and delivery of KFH/HP operational system processes and standards of practice, in alignment with the organization´s mission, strategic business plan, and related performance improvement expectations.DUTIES: In collaboration with Regional Continuum Administrators achieves/exceeds performance expectations for all areas of continuing care operations, including Home Health/Hospice, SNF, DME, Ambulance, Claims & Referrals, and Eldercare, Palliative Care, ESRD, Psych, Social Services, Case Management, Continuing Care UM, Revenue outside the hospital, Shared Continuing Care Services, H/HP Benefit Application, Contracts. Has joint responsibility for Home Health and Hospice, DME, Ambulance, Utilization Management, Social Services, and Contracts. Creates the structure and processes to develop, implement and evaluate programs, policies and standards for continuing care services to ensure coordinated plans of treatment, delivery systems that meet member needs, and cost-effective utilization of necessary services. In collaboration with local and regional Leadership defines and communicates strategic objectives and scope. Articulates issues or problems from a broader organizational/mission perspective. Builds the case for change and articulates costs and risks for not making change. Champions new ways of meeting targets and/or goals. Explores critical issues not explicitly addressed by others. Anticipates and plans for future issues or problems. Monitors and assesses internal and external environment for trends and practices. Recommends adjustments to operations to improve efficiency and to meet changing business needs. Ensures rapid transfer of best practices. Builds relationships with local leadership and community partners to develop and meet utilization targets and related quality goals in the continuum. Works with KFH/HP, TPMG and labor leaders to target diseases/conditions such as Palliative Care, Behavioral Health, and Elder Care that would benefit from a regional multidisciplinary approach. Sponsors clinical pathway development, implementation and evaluation. Ensures KFH/HP compliance with UM standards and requirements in the continuum. Coordinates with facility based leadership to develop systems to ensure the seamless transition of patients through different care settings. Where capacity or resource constraints exist, works with regional and local leadership to identify opportunities to coordinate contracting efforts for outside medical services. In conjunction with the Executive Director for the Continuum Process Team Leaders, develops strategies for determining the most cost-effective, efficient levels of continuing patient care clinically and operationally. In collaboration with finance, planning and analysis and patient business services, establishes appropriate mechanisms to collect and analyze data on care delivered outside of the KP integrated system. Establishes appropriate methods to define, categorize, and monitor claims and referred services. Provides oversight to the data and reporting systems used to track the performance of continuing care operations. Works collaboratively with medical group and labor leadership to recommend service delivery changes or internalization of services where appropriate. Works with regional continuing care leadership to establish appropriate case management programs to monitor and manage the care of members in non-KFH facilities. Ensures the successful operational implementation of HealthConnect continuing care functionality. Ensures the successful implementation of, promoting, and operationalizing the Labor-Management Partnership throughout the organization. Achieving key LMP initiatives and ensuring the demonstration of LMP behaviors throughout the organization. Ensuring Labor participation in appropriate decision making forums and committees. Responsible for the efficient delivery of all continuing care services for KP members by overseeing the development, negotiation, and utilization of cost-effective, high quality contracts with outside providers. Establishes joint contracting relationships across medical centers where appropriate. Assures short and long-range financial goals are met by establishing and controlling continuing care expenses in support of the overall financial plan. In collaboration with HPRS, establishes policies, procedures and protocols for the reimbursement of claims submitted by KP members for outside services to maximize reimbursement revenue from other insurers (e.g., Medicare or Medi-Cal) with consistent and appropriate interpretation and application of the health plan benefit. Manages the Health Plan function in ensuring implementation of new deductible plan products within the local areas. Ensures the integration of quality, service and efficiency improvements into day-to-day operations. Develops, coaches and manages a staff dedicated to providing expertise and customer service. Monitors and assesses trends, external environment and internal practices; makes recommendations to develop/adjust strategy to meet the changing business and market conditions. Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees. Consistently supports compliance and the Principles of Responsibility (KP´s code of conduct) by maintaining confidentiality, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable Federal and State laws and regulations, accreditation and licensure requirements, and KP policies and procedures.